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1518471986
TYRIN W HOLT
FORT WORTH, TX
NPI
1518471986
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Other Name
BROOKE HAVEN CARE HOME
Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
174400000X Specialist
(Licence: TX 823477505)
Enumeration Date
2017-11-21
Last Update Date
2017-11-21
Business Address
TYRIN W HOLT
1540 BERCKMANS RD
FORT WORTH, TX 76120-1500
Phone number: 817-308-1806
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Mailing Address
TYRIN W HOLT
4009 COTTAGE PARK CT
ARLINGTON, TX 76013-8087
Phone number: 817-308-1806
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